Does this patient have dialysis-induced headache?

Symptoms

Bifrontal discomfort (throbbing)

Nausea with or without vomiting

Aggravated by supine position

No accompanying visual disturbances

The International Headache Society (IHS) defines dialysis-related headache as a headache with no specific characteristics that develops during hemodialysis and resolves spontaneously within 72 hours of completion of the dialysis session. The following IHS diagnostic criteria are proposed:

A. At least three attacks of acute headache fulfilling criteria C and D

B. Patient is on hemodialysis

C. Evidence of causation demonstrated by at least two of the following:

1. Each headache developing during a hemodialysis session

2. At least one of the following: a) Each headache worsening during the dialysis session b) Each headache resolving within 72 hours after the end of the dialysis session